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Authors: Iryna Chugaieva, MD et al ASA Monitor May 2023, Vol. 87, e8–e9. Advances in health care have resulted in an aging population with multiple health problems. During pregnancy, maternal age alone is a known independent risk factor. Therefore, pregnancies during higher age with comorbidities are high-risk pregnancies. Despite significant improvements in the availability and quality […]
Read MoreAuthors: Brian Taussig, MD et al ASA Monitor May 2023, Vol. 87, 21. Your pager goes off for a postpartum hemorrhage (PPH) on the labor floor. While the patient is hemodynamically stable, the estimated blood loss is almost 2 liters, so you place additional large-bore intravenous access while drawing off a “rainbow set” of labs. You […]
Read MoreAuthors: Alexander G. Samworth, MD et al ASA Monitor May 2023, Vol. 87, 20. Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide (Obstet Gynecol 2017;130:366-73; BMC Pregnancy Childbirth 2009;9:55). Nearly half of all severe maternal morbidity in the United States is related to PPH (BMC Pregnancy Childbirth 2009;9:55). Physiologic changes of pregnancy […]
Read MoreAuthors: David Stahl, MD et al ASA Monitor May 2023, Vol. 87, 17–19. A 41-year-old G2P1 with a history of chronic hypertension, obesity (BMI 45), lower extremity edema, and asthma presents with severe-range blood pressures at 37 weeks gestational age. The diagnosis of preeclampsia with severe features is confirmed, an induction of labor is started, and […]
Read MoreASA Monitor May 2023, Vol. 87, 13. Case presentation A 50-60-year-old ASA 3 male, with a BMI of 41.3, past medical history significant for coronary artery disease (CAD), post-right coronary artery (RCA) stent placement, obstructive sleep apnea (OSA) treated with continuous positive airway pressure (CPAP), hypertension treated with metoprolol, and hyperlipidemia, was “cleared” by a cardiologist […]
Read MoreASA Monitor May 2023, Vol. 87, 12. A 12-year-old underwent an ex-lap for an acute abdomen and was subsequently admitted to the floor. The nurse noted irregularities in the patient’s vital signs and sent a message to the resident caring for the patient. The resident did not seem concerned and said he or she would come […]
Read MoreASA Monitor May 2023, Vol. 87, 10. Your next patient is a 65-year-old man with hypertension undergoing a laparoscopic ventral hernia repair. You warm him in the preoperative area and actively maintain his core temperature at 37°C intraoperatively. According to a recent study, compared to a similar patient who receives routine thermal management with a core […]
Read MoreAuthor: David P. Martin, MD, PhD, FASA ASA Monitor May 2023, Vol. 87, 9. Anesthesiologists who work in large groups look to their leadership for making choices that are relevant and economical in meeting their educational needs – for licensure, maintenance of certification, and to keep up with the latest knowledge relevant to both the specialty […]
Read MoreAuthor: Grant Lynde, MD, MBA ASA Monitor May 2023, Vol. 87, 14. The phrase “quality improvement” may sound intimidating. For some, the words are heavy with data, statistics, and change. But at its core, quality improvement is about doing what you did today a little bit better tomorrow. Small steps can take you a long way. […]
Read MoreASA Monitor May 2023, Vol. 87, 9. The naturally occurring hormone erythropoietin is PRIMARILY produced by which of the following? □ (A) Kidneys □ (B) Adrenal glands □ (C) Bone marrow In addition to accounting for fluid, electrolyte, and acid-base homeostasis, the kidneys also provide neurohormonal activity such as erythropoietin (EPO) synthesis and vitamin D activation. EPO is a […]
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